Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
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Hubungan Perilaku Pencarian Pengobatan dengan Tuberkulosis Paru di Sulawesi Utara
Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Health seeking behavior is one of the factors that influence the incidence of pulmonary tuberculosis. The purpose of this study to determine the relationship with the incidence of treatment-seeking behavior of Tuberculosis in North Sulawesi province based on basic health research in 2010. Method: The design of this study used a descriptive approach correlative. The research sample is total sampling of all basic health research respondent data in 2010 in the province of North Sulawesi aged ≥15 years amounts to 2319 respondents. The analytical method used univariate and bivariate. Results: The results showed the incidence of pulmonary TB in North Sulawesi province is 11 people (14.1%), and respondents who continued treatment of TB program eight (10.3%). Conclusion: There was a relationship between the incidence of treatment-seeking behavior of pulmonary TB (p=0.037)
Faktor-Faktor yang Berhubungan dengan Kejadian Diare pada Balita di Puskesmas Bulu Lor Kota Semarang
Background: Diarrhea is still being a global health problem especially in developing countries. In Indonesia diarrhea is still one of the major public health problems. It is often affects infants and toddlers, if not be treatment further will lead to dehydration and resulting death. Many factors cause diarrhea in infants, either directly or indirectly. Method: This study was an observational analytic using cross sectional design, there were 84 respondents of mothers who have children under five who are live in surround the work area of Puskesmas Bulu Lor Kota Semarang. The data was collected using a questionnaire. Primary data were obtained from direct interviews to re respondents. Data analysis was done by using Chi-Square test (univariat and bivariate). Results: Based on statistic test, this study found that factors related to diarrhea at Puskesmas Bulu Lor Kota Semarang were Exclusive Breast Milk (p-value=0.018), existence of Flies (p-value=0.043), and restroom ownership (p-value=0.031). While the factors that are not related to the incidence of diarrhea in Puskesmas Bulu Lor Kota Semarang are knowledge (p-value=0.705) and clean water (p-value=1.000). Conclusion: The result of this study can be concluded that there is a relationship between exclusive breast milk, the existence of flies, and the ownership of restroom with the incidence of diarrhea at the Puskesmas Bulu Lor Kota Semarang
Status Partisipasi dan Kualitas Hidup Peserta Pos Pelayanan Terpadu Lanjut Usia
Background: Demographic and epidemiologic transition now occurred in the District of Bantul could be followed by decreasing quality of life in elderly. Community elderly care service (CECS) is a primary service for elderly with potential to support increasing quality of life in elderly. Based on previous study, utilization of CECS was high (73.30%) at subdistrict of Bambanglipuro, Bantul. To know the relationship between participation status and quality of life in CECS participants at subdistrict of Bambanglipuro. Method: A cross-sectional study was conducted from April to May 2012. Samples were selected with consecutive sampling technique. Data were collected from 8 CECSs at subdistrict of Bambanglipuro. Quality of life was measured with short form 36 (SF-36) Health Survey, including physical component summary (PCS) and mental component summary (MCS). Data then were analyzed with descriptive and analytic methods using Chi-square test and multiple logistic regression. Results: Of 238 subjects investigated, 186 (78.20%) were good in PCS and 194 (81.50%) were good in MCS. Multivariate analysis showed that active in physical exercise of CECS program, absence of hypertension, and better economic status were related to better PCS (aPR: 5.31, 95%CI: 2.52-11.20; aPR: 3.41, 95%CI: 1.31-5.47; aPR: 2.68; 95%CI: 1.31-5.47) and better MCS (aPR: 3.97, 95%CI: 1.83-8.64; aPR: 3.08, 95%CI: 1.39-6.82; aPR: 6.38; 95%CI: 2.62-15.53). Conclusion: Dominant factors that related to better quality of life in CECS participants were: active in physical exercise program of CECS, absence of hypertension and better economic status
Kejadian Penyakit Infeksi Saluran Pernapasan Akut pada Pekerja Tambang Kapur
Background: Limestone industrial has been polluting the air with dust and combustion gases of limestone. The main effects of limestone dust to worker that dust in the form of both acute lung disorder and chronic disruption of physiologic function, eye irritation, irritation of sensory as well as the accumulation of harmful substances in the body. The effect on the respiratory tract is the irritation of the respiratory tract (ISPA). One of the negative effects of the limestone processing activities is environmental degradation that marked the air pollution and the growing number of diseases related to the respiratory tract. in the Buliide Village on 2014 ISPA 348 cases, 185 cases of asthma, and pneumonia 10 cases. The purpose of this study is determine the factors related to the case of respiratory disease in limestone mining workers in Buliide Sub-District, Kota Barat District, Gorontalo province. Method: Type of research used in this research is observational research with cross sectional analytic study, which is a plan that examines the dynamics of the correlation or association between the independent variables (independent) and dependent variable (dependent) at the same time (Point Time Approad). The research was done at Buliide Village, Kota Baru District, Gorontalo Province in 2015. Result: The results showed that there is a relationship between working duration, age, smoking behavior, have a relation with case of respiratory disease. While working period do not have any relation with case of respiratory disease in limestone mining workers in Buliide Sub-District, Kota Barat District, Gorontalo province. Conclusion: It was advisable for the government to provide education on prevention and control of dust hazards, information dangers of smoking, and health check on where the service is available
Analisis Mutu Pelayanan Klinis Kasus Asma Bronkial Anak di Unit Gawat Darurat Rumah Sakit
Background: Bronchial asthma is one of the top 10 common diseases in children in the emergency room navy hospital dr. Azhar Zahir Manokwari West Papua in the past one year. Asthma bronchial requiring therapeutic measures quickly and efficiently to improve the quality of patient care in the emergency room. Medical audit was strongly associated with improved quality and standardization for the excellent medical services in hospitals, therefore any health care providers are required to provide good service to do a medical audit. This study is to evaluate the quality of medical services asthma bronchial cases of Children in the Emergency room for the excellent medical services at Navy Hospital dr. Azhar Zahir Manokwari West Papua. Method: This study is a quantitative descriptive study, were taken in a non-probability sampling with consecutive sampling method. Criteria for sample: patients who have been diagnosed with asthma bronchial, aged one to 14 years. Result: Most patients with asthma bronchial in the emergency room was mild attacks category. The application of medical standards asthma bronchial cases in these hospitals were not good enough. It was seen from the results of the analysis, where there were some standard actions that are not performed by a doctor, among others: observation for two hours, the line installation parenteral, clinical check after 12 hours, and thoracic radiograph. Conclusion: The quality of medical care to patients who did not conform to the standard treatment of bronchial asthma in children because there were some actions that are not limited facilities and infrastructure in the emergency room
Hubungan Mutu Pelayanan dengan Kepuasan Pasien Peserta BPJS di Rumah Sakit Umum Daerah Yogyakarta
Background: The quality of health services in hospitals is strongly influenced by the process of service delivery and the quality factor of physical facilities, drugs and medical devices of human resources. The purpose of this study is to look at the relationship between the quality of care with patient satisfaction BPJS participants in District hospital DIY. Method: This research was quantitative research, with cross sectional design. It was conducted in Sleman district Hospital and Bantul District Hospital. The number of samples in this research was 203 patients on BPJS. Analysis of the data used in the bivariate analysis using chi-square test, and multivariate analysis using linear regression analysis. Results: The results showed p-value of all the variables is smaller than the value α (0.000<0.05), so it can be concluded that Ha Ho accepted and rejected. The order of the strength of the relationship is the largest to the smallest empathy (OR=0.342), tangibility (OR=0.280), reliability (OR=0.266) and assurance (OR=0.230) as well as variable responsiveness has a p-value 0.215. Conclusion: There were no relationship between tangibility, reliability, responsiveness, assurance, empathy and patient satisfaction with service quality. Variable responsiveness has no effect on satisfactio
Pengendalian Kimia dan Resistensi Vektor Anopheles Dewasa pada Kawasan Endemis Malaria di Dunia
Background: Various methods of malaria vector control has been done. Insecticides which using repeatedly impact new problems for the emergence of vector resistance. Hence, optimization about active ingredient in the insecticide product should take notice to the development of insecticide resistance mechanisms for malaria vectors. Literature review which assess and discuss adult Anopheles sp resistance for chemical control programme were still limited to certain insecticides. The aim of this literature review is collecting and findings evidence has been produced by researchers which associated with chemical control of vector and  variety of adult Anopheles resistance as a strategy to eradicate malaria endemic cases. Method: This literature review prepared by systematic review methods.Google database is used as the primary source of search with keyword "adult Anopheles", "resistance", insecticideâ€, and chemical control". Inclusion and exclusion criteria applied to select journals that are relevant of this literature review’s topic. Collected 41 articles and 10 articles are matched with inclusion criteria. Results: Chemical control obtain cause Anopheles sp resistance to certain chemical insecticides. The involvement of Anopheles sp knockdown resistance (kdr) mutations as a genetic factor in the resistance mechanism, bio-ecological factors and operational factors (insecticide types, application techniques, dose, frequency, time and manner of application/intervention) as the primary cause of chemical insecticide resistances. Conclusion: To maintain this programme, we needs government policies are vector control integrated through research, assessment, and development of vector resistance mechanisms with insecticides to achieve the goals for globally malaria’s free in 2020
Appendicitis Clinical Pathway Implementations Compliance Evaluation in Hospital
Background: Clinical pathway (CP) is a collaborative guidance for patients treatments that focused on diagnosis, clinical problems, and stages of care. CP implementation becomes a guideline on hospital quality and safety improvement for the patient services. Method: The research used a descriptive-qualitative mixed methods. Primary data collected through medical record and secondary data is done by interview and observation by using CP format. Results: From medical records total, 23 cases were found that met the inclusion criteria. The acute appendicitis case in adults is more than children in number (3,6:1). Acute appendicitis CP compliance is 86%. There are three problems in CP compliance of acute appendicitis i.e doctor's visit adherence (physician in charge of patient 87%, 0% anesthesia), 65% adherence therapy compliance, and 52% inpatient admission. The root of the problem is the lack of socialization, monitoring, and evaluation of established standards. Some activity variations may occur during each process from time to time that will produce a variety of the outcomes as well. How to reduce process variation is to standardize. The process of standardization includes the preparation, socialization, monitoring, control, evaluation and revision of thew standards. CP profit is that it could reduce variation, is a professional requirement, and the basis for quality measurement. Implementation of good standards will ensure the safety of patients and the healthcare providers. Conclusion: Almost all employees have conducted medical record (MR) in accordance with clinical pathway criteria as well, but the CP sheet is not included in the M
Pelatihan Peduli Dukun Bayi Sebagai Agen Promotor Air Susu Ibu Eksklusif pada Ibu Hamil
Background: Promotions of exclusive breastfeeding during the first six months of a child’s life have been made throughout the world, including Indonesia. Exclusive breastfeeding movement in Indonesia specifically supported through Government Regulation Number 33 of 2012. Unfortunately, the report shows that the proportion of exclusive breastfeeding EBF) is low. Government regulation is not the only way to reach successful EBF practice, while other people supports are also needed. Traditional Birth Attendants (TBA) are the people closest to the mothers especially in rural areas. The role and potency of traditional birth attendants can be used to promote exclusive breastfeeding on the mother. Method: Therefore training program was held involving 55 TBAs as participants at Ciampea District, Bogor Regency to support and improve exclusive breastfeeding practices in this area. Furthermore, to determine the effectiveness of the provision of material for the training is done using the method of cross-sectional studies. Training activities and the measurement were conducted in May and October 2013. Result: The result showed that the training was able to provide new knowledge about exclusive breastfeeding at TBAs. Conclusion: Furthermore, after all the training, there was increase in knowledge, attitude and practice of Exclusive breastfeeding promotion by TBAs. Knowledge increased two times, attitude 1.5 times, and practice two times
Pengetahuan, Sikap, dan Perilaku Pengelolaan Sampah pada Karyawan di Kampus
Background: The existence of garbage are still considered as the something that is not useful and even detrimental to the public. The resulting Bad smell will make people stay away and do not want to handle. Its existence will be a complicated issue and threaten human life, whereas humans also likely to produce even with the passage of time and in line with increasingly consumptive lifestyles that add a lot of garbage resulting. The amount of garbage ever increasing because of the human activities increasingly consumptive need no treatment to reducing piles of garbage. The purpose of research to know correlation between knowledge and attitudes with garbage management behavior on campus X Yogyakarta. Method: This research was observational analytic with cross sectional study design and using the chi-square test, sampling technique using the total sampling and amount of sample is 30 respondens. The instrument that was used, a questionnaire about knowledge and attitudes, behavior while using the checklist. The data analyzing was used  univariate and bivariate with chi-square test. Results: Based on the results of research conducted on 30 respondents who had bad garbage management behavior as many as 13 people (43.3%) and good garbage management behavior amounted 17 (56.7%). Results of fisher test is obtained no correlation between knowledge and behavior garbage management (p=0.020, RP=0.367, CI; 0.173 to 0.786) and there is nocorrelation between attitude and behavior garbage management (p=0.347, RP=0.779, CI; 0.396 to 1.748). Conclusion: There is a correlation between knowledge and behavior garbage management andthere is no correlation between attitude and behavior garbage management in campus